51 Payer Jobs in Durham, NC
-
MDS Coordinator, LPN/RN Pettigrew Rehabilitation Center - Durham, North Carolina Practical Nurse LPN or Registered Nurse RN licensure in the state of practice required · Working knowledge of Medicare and Medicaid programs, LTC payer systems, the Omnibus Budget Reconciliation Act (OBRA 2 days ago
-
Associate Director of Revenue Cycle Management Avance Care - Durham, NC , as well as others to be identified: (30%) Government and Commercial Payers Contracts Payor Relations and compliant system edits Accountable Care Organization agreements Meaningful use and MIPS/MACRA Coding 5 days ago
-
RN - Up to $10K Bonus! SunCrest Home Health - Durham, North Carolina , in collaboration with physician orders. Ensures patients meet home health eligibility and medical necessity guidelines as defined by payer source. Initiates, develops, implements and makes necessary revisions 4 days ago
-
Weekend RN (Home Health) SunCrest Home Health - Durham, North Carolina with physician orders. Ensures patients meet home health eligibility and medical necessity guidelines as defined by payer source. Initiates, develops, implements and makes necessary revisions to the plan of care 4 days ago
- Forum: Start a Discussion Join
-
Sr. Business Analyst Apex Systems - Durham, NC of Bachelors or advanced degree, 7+ years of experience in related field. Plusses: Healthcare experience, Medicare/Medicaid, Health Payer Systems *Please note that as a contract employee of Apex Systems USD 42.00 - 43.00 per hour 12 days ago
-
Program Director-Updated Community Alternatives Inc. DBA Community Choices Inc. - Durham, North Carolina consistent operations. * Manage routine correspondence with payers, referral sources, and other stakeholders. *Quality Management:* * Ensure compliance with all corporate, federal, state, county, and payer 7 days ago
-
Product Manager/Senior Product Manager, Patient Marketing - Rare Disease United Therapeutics - Durham, NC Demonstrate command of disease state, product portfolio, competitors, and payer landscape Assist in managing promotional review board discussions (PRB) and negotiating solutions to gain exposure to the PRB 9 days ago
-
Senior Nurse Navigator at PruittHealth PruittHealth - Durham, North Carolina companies and other payer referral sources. 22. Determines vulnerabilities of competitive relationships and set targets. 23. Joins and participates in appropriate organizations and associations. 24. Documents 12 days ago
-
Sr Director Market Access Strategy, Access Optimization - Specialty GSK - Durham, NC development, access customer segmentation, payer strategy, organized customer contracting and channel strategy, pricing, distribution, and value proposition development. Communicate access-specific strategies 20 days ago
-
Sr Director Market Access Strategy, Access Optimization - Anti-Infective, Vaccine, & Launch Excellence GSK - Durham, NC development, access customer segmentation, payer strategy, organized customer contracting and channel strategy, pricing, distribution, and value proposition development. Lead the development of Launch MA 20 days ago
Top locations
- Greensboro, NC (49)
- Raleigh, NC (34)
- Burlington, NC (7)
- Reidsville, NC (6)
- Henderson, NC (4)
- Graham, NC (3)
- Clayton, NC (3)
- Fuquay-Varina, NC (3)
- See more